Client Contact And Information Form

It is important that our database contains as much information as possible about our clients, their pets, and their caregivers, especially if an emergency were to arise. Please fill out the form and click submit at the end of this page.


Mandatory Vaccine Records:

PLEASE NOTE: Prior to any care beginning, we’ll need to obtain your dog’s complete and updated vaccine records. Please be sure to email your vet the below so they know exactly what is required. 

Proof of vaccines may include, but are not limited to, (A) a receipt from a veterinary office for vaccines provided, (B) a summary of a veterinary visit prepared by the veterinary office indicating such vaccines were administered. The accepted proof will be maintained on our premises for at least one year and provided to the Department Of Health & Mental Hygiene upon request.

Regarding The Rabies Vaccination:

PLEASE NOTE: In order for the Rabies vaccination certificate to be official and in compliance prescribed by the Commissioner to be forwarded to the Department, it needs to be dated and signed by your vet or a licensed veterinarian and will need to include the following information:

– A description of the dog, its age, color, sex and breed

– The name and address of the owner  

– The type of vaccine injected

– Lot or vaccine tag number

– Its duration of immunity

Please Also Note: A receipt/invoice presented that is not from a vet office as proof of current Rabies vaccination must also contain Vet name and signature.

All mandatory vaccine record information listed just below.

PLEASE NOTE: We highly suggest that you bring a hard copy or copy and paste all the mandatory vaccine records required below and email it directly to your vet so they’ll know exactly what you need which they can email to us as well. Although they don’t mean to, they often do not provide complete information which can delay this process up to several days which can result in us not being able to provide care until all the necessary the information is obtained. 


Good Until Date Of Expiration:

  • Rabies (An official Rabies vaccination certificate. Signed & dated by a licensed vet with injection lot or tag number included, the date the vaccine was given & the date it’s good until)
  • Canine Distemper
  • Canine Hepatitis
  • Canine Para influenza
  • Parvoviruså
  • Adenovirus
  • Bordetella 
  • Vaccinations must be administered at least 48 hours prior to arrival under the supervision of a licensed veterinarian.
  • All dogs should be flea and tick free

Please type in the letters ‘NA’ (not applicable) in all the fields that do not apply to you. All fields are required to be filled in. Otherwise the form can not be submitted.

Payment Requirements & Procedures

In regard to payment, we accept all major credit cards, VENMO and cash. We do not accept checks. Our VENMO ID is @Dorothy-Pimentel. We will be accepting Zelle and other direct deposit options soon.

PLEASE NOTE: Although you do not have to pay via credit card, we do require a credit or debit card to be kept in your file before any service can begin.

  • Owner(s):

  • (A) Telephone Numbers:

  • :
  • (B) Info

  • (B) Telephone Numbers:

  • :
  • Veterinarian Information

  • Other Pertinent Information Regarding Your Dog's Care

  • Important Note:Please make sure you have a non retractable/non elastic leash(s) for us to use